<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Travel Form</title>
<script src="https://cdn.staticfile.org/jquery/1.10.2/jquery.min.js"></script>
<script src="travelForm/travelForm.js"></script>
<link rel="stylesheet" type="text/css" href="travelForm/travelForm.css"/>
</head>

<body>
<div class="container">
<h1>Travel reservation form</h1>
<h3>* denotes mandatory</h3>
<form id="registration_form">
	<label>Full name*:</label><br><br>
    <input type="text" name="full_name" placeholder="FirstName LastName" autofocus="autofocus" value="" /><br />
    <label>Email address*:</label><br><br>
    <input type="text" name="email_addr" value="" /><br />
    <label>Select Tour Package* :</label><br />
    <select name="package">
    <option value="Goa">Goa</option>
    <option value="Kashmir" >Kashmir</option>
    <option value="Rajasthan">Rajasthan</option>
    </select><br />
    <label>Arrival date*:</label><br />
    <input type="text" name="arv_dt" placeholder="m/d/y" value="" /><br />
    <label>Number of travelers*:</label><br />
    <input type="text" name="people" value=""s /><br />
    <label>What would you want to avail?*</label><br />
    Boarding<input type="checkbox" name="facilities[]" value="boarding" /><br />
    Fooding<input type="checkbox" name="facilities[]" value="fooding"  /><br />
	Sightseeing<input type="checkbox" name="facilities[]" value="sightseeing" /><br />
    <label>Discount Coupon code:</label><br />
    <input type="text" name="dis_code" value="" /><br />
    <label>Terms and conditions*</label><br />
    <input type="radio" name="tnc" value="agree" checked />I agree
    <input type="radio" name="tnc" value="disagree" id="rdSelect"/>I disagree<br />
    <!--<button type="submit" class="btn btn-large btin-primary" name="submit" id="btnJq">Complete reservation</button>-->
   
    </form>
    <input type="button" value="Complete reservation" id="btnJq"/>
    </div>
</body>
</html>
